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Epidemic Situation of Tuberculosis in Prisons in the Central Region of China

Yeqing TongCenter for Disease Control and Prevention, Hubei, China;

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Shunli JiangSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;

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Xuhua GuanCenter for Disease Control and Prevention, Hubei, China;

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Shuanyi HouCenter for Disease Control and Prevention, Hubei, China;

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Kun CaiCenter for Disease Control and Prevention, Hubei, China;

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Yemeng TongWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, China;

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Li CaiWuhan Center for Disease Control and Prevention, Wuhan, China;
School of Health Sciences, Wuhan University, Wuhan, China

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Jiafa LiuCenter for Disease Control and Prevention, Hubei, China;
School of Health Sciences, Wuhan University, Wuhan, China

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Qing LuSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;

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We aimed to investigate the epidemic situation of tuberculosis (TB) in prisons in the central region of China. Tuberculosis screening was carried out in two prisons in middle China. A sum of 3,459 prisoners accepted chest X-ray examination; 40 of them were diagnosed as active TB patients. The active TB prevalence (1,156/105) was significantly higher than that of the province and China’s general population (P < 0.01). As for gender, TB prevalence in men’s prison (1,589/105) was higher than that in the women’s prison (946/105). Nevertheless, the risk of having TB in women’s prison was much higher than that in the men’s prison when compared with the TB prevalence from the province (women: OR = 2.37, 95% CI: 1.34, 4.22; men: OR = 1.53, 95% CI: 0.90, 2.60) and the China’s general population (women: OR = 3.30, 95% CI: 2.15, 5.09; men: OR = 2.06, 95% CI: 1.29, 3.30). In view of the severe epidemic situation of TB in prisons, integrating medical resources to establish a consummate and effective management system is necessary.

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Author Notes

Address correspondence to Jiafa Liu, Center for Disease Control and Prevention, Hubei 430079, P. R. China, E-mail: l_jiafa@163.com or Qing Lu, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, P. R. China, E-mail: qi_weiliao@126.com.

Authors’ addresses: Yeqing Tong, Institute of Infectious Diseases, Department of Epidemiology, Wuhan, China, E-mail: ytong@hbcdc.com. Shunli Jiang and Qing Lu, Department of Epidemiology, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, E-mails: 1056469339@qq.com and qi_weiliao@126.com. Xuhua Guan and Kun Cai, Department of Epidemiology, Hubei Center for Disease Control and Prevention, Wuhan, China, E-mails: g_xuhua@21cn.com and 56594776@qq.com. Yemen Tong and Li Cai, Wuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, China, E-mails: 356656386@qq.com and 84799760@qq.com.

These authors contributed equally to this work.

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